Care Management Patient
Resume:
TIA CASTALDI
**** ***** **** ***** *********, Florida 34207
***********@***.***
https://www.linkedin.com/in/tia-castaldi-9326912a
Experienced nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, Microsoft word, Excel, Macess, Epic, and ICD-10. Care management of complex patients and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
EXPERIENCE
09/2020-CURRENT
RN CARE MANAGER, SUMMA MANAGEMENT SERVICES ORGANIZATION
SUMMACARE HEALTH INSURANCE AGENCY
Evaluates members physical, psychological, and social needs, develop care plans, coordinate services and resources, monitor member progress, and provide education and support to members and families
Completes care management documentation according to NCQA standards
Reviews transplant evaluation request/referral information and communicates with our utilization management team on the correct network/contracted facility for transplant cases. Coordinates financial/contractual arrangements for service with the plans reinsurer and transplant network.
05/2015 – 09/2020
RN CASE MANAGER, SUMMA HEALTH SYSTEM
Provided care to complex individuals in the home setting, including physical assessment, medication and chronic disease management
Coordinated charitable, government and community resources for patients
Maximize preventative care utilization to reduce hospital burden and help eliminate readmissions
06/1992 – 5/2015
RN INTENSIVE CARE UNIT, SUMMA HEALTH SYSTEM
Performed patient treatment according to urgency of condition while multitasking and delegating treatment needs to qualified staff to ensure effective and safe care to promote better outcomes
Trained and coached new employees on protocols and best practice to promote ideal patient outcomes
Guided and educated patients and caregivers on diagnoses, disease management, preventative measures, medication use and self-care to foster consistency in care administration
EDUCATION
MAY 1992
RN DIPLOMA, ST THOMAS SCHOOL OF NURSING, AKRON, OHIO
Class Vice-president and representative
Previous CCRN certification while working in critical care
CCMC certification 09/01/2020-05/31/2025 CURRENT
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